Organization · NPI-2

Advance Medical Accptance

Counselor · Houston, TX

NPI number1578895892

StatusActive

Last updated in NPPESFeb 11, 2010

Details

NPI: 1578895892
Entity type: Organization (NPI-2)
Legal business name: Advance Medical Accptance
Organization subpart: No
Enumeration date: Feb 11, 2010
Last updated: Feb 11, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101Y00000X	Counselor	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103G00000X	Clinical Neuropsychologist	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
146M00000X	Emergency Medical Technician, Intermediate	–	–
364SC1501X	Clinical Nurse Specialist, Community Health/Public Health	–	–

Other names

Mediline Medical Center (Other Name)

Practice location

6550 Mapleridge St
Suite 214
Houston, TX 77081-4647

Phone 713-432-9400 · Fax 713-432-9401

Mailing address

6550 Mapleridge St Ste 214
Houston, TX 77081-4647

Phone 713-432-9400 · Fax 713-432-9401

Authorized official

Emmanuel M Lord
Admistrator
7134329400

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